Individual provider Active NPI

Guadalupe Elizabeth Woodson, FNP-C

  • Family Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1912077322
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN32589 Issued in AZ
Practice address
1016 W University Ave Ste 206
Flagstaff, AZ 86001-2996
Phone
(928) 266-1530
Fax
(928) 266-1531
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN32589 AZ Primary

Addresses

Primary practice location

1016 W University Ave Ste 206
Flagstaff, AZ 86001-2996

Mailing address

1016 W University Ave Ste 206
Suite 206
Flagstaff, AZ 86001-2996
Phone (928) 266-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000697 AZ Practitioner - Nurse Practitioner 2769466929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN32589AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Nursing, PLLC Family CurrentSince Jul 1, 2014 Accepting new patients
Flagstaff Medical Center PastSince Oct 1, 2015 Accepting new patients
Northern Arizona Healthcare Corporation PastSince Oct 1, 2015 Accepting new patients

Locations

906 W University Ave
Ste 120
Flagstaff, AZ 86001
Phone (928) 556-9935

1016 W University Ave
Ste 206
Flagstaff, AZ 86001
Phone (928) 226-1530

1110 E Route 66
Ste 201
Flagstaff, AZ 86001
Phone (928) 213-5680

1016 W University Ave
Flagstaff, AZ 86001
Phone (602) 730-6267

1890 W State Route 89A
Ste D
Sedona, AZ 86336
Phone (928) 282-0005

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1912077322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W UNIVERSITY AVE STE 206",
            "address_2": "SUITE 206",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012996",
            "telephone_number": "928-266-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W UNIVERSITY AVE STE 206",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012996",
            "telephone_number": "928-266-1530",
            "fax_number": "928-266-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "GUADALUPE",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN32589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.